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Table 1 Patient characteristics and clinical information of the entire patient population, the intermediate-/high-, and the standard-risk cytogenetic group [26, 40, 41]

From: Predicting cytogenetic risk in multiple myeloma using conventional whole-body MRI, spinal dynamic contrast-enhanced MRI, and spinal diffusion-weighted imaging

 

All patients

(n = 31, 100%)

Intermediate-/high-risk

(n = 13, 42%)

Standard-risk

(n = 18, 58%)

Patient characteristics

 Gender (male–female)

15 (48%)–16 (52%)

6 (46%)–7 (54%)

9 (50%)–9 (50%)

 Genetics-MRI (months)

-0.3 ± 1.5 (-2.5–3.0)

0.0 ± 1.5 (-1.8–2.6)

-0.6 ± 1.4 (-2.2–3.0)

 Death

6 (19%)

3 (23%)

3 (17%)

 Age at diagnosis (years)

66.4 ± 7.4

68.0 ± 6.4

65.3 ± 8.1

 BMI (kg/m2)

26.3 ± 4.5

26.2 ± 4.9

26.4 ± 4.3

 Two-year overall survival

97%

92%

100%

 Three-year overall survival

94%

92%

94%

Laboratory results

 MM subdiagnosis

7 IgAλ (23%)−4 IgAκ (13%)−5 IgGλ (16%)−2 IgGκ (39%)−1 LCλ (3%)−1 LCκ (3%)−1 IgMκ (3%)

2 IgAλ (15%)−2 IgAκ (15%)−2 IgGλ (15%)−6 IgGκ (47%)−1 LCλ (8%)−0 LCκ (0%)−0 IgMκ (0%)

5 IgAλ (28%)−2 IgAκ (11%)−3 IgGλ (17%)−6 IgGκ (34%)−0 LCλ (0%)−1 LCκ (5%)−1 IgMκ (5%)

 BSR (mm/hour)a

52.5 ± 37.7

57.9 ± 40.6

49.5 ± 37.0

 Hemoglobin (g/dL)b

12.3 ± 1.9

12.1 ± 2.1

12.5 ± 1.7

 Hematocrit (%)c

37.1 ± 4.8

36.5 ± 5.4

37.5 ± 4.4

 Anemia

16 (52%)

8 (62%)

8 (44%)

 Calcium (mg/dL)d

9.6 ± 0.9

9.4 ± 0.6

9.7 ± 1.1

 Calcium status

28 normal (90%)–2 hypo (7%)–1 hyper (3%)

12 normal (92%)–1 hypo (8%)–0 hyper (0%)

16 normal (88%)–1 hypo (6%)–1 hyper (6%)

 Creatinine (mg/dL)e

0.9 ± 0.3

0.9 ± 0.2

1.0 ± 0.3

 GFR (mL/min/1.73m2)f

72.7 ± 15.5

75.8 ± 13.4

70.4 ± 16.8

 CKDg

6G1 (19%)–20G2 (65%)–4G3a (13%)–1G3b (3%)–0G4 (0%)–0G5 (0%)

4G1 (31%)–8G2 (61%)–1G3a (8%)–0G3b (0%)–0G4 (0%)–0G5 (0%)

2G1 (11%)–12G2 (67%)–3G3a (17%)–1G3b (5%)–0G4 (0%)–0G5 (0%)

 β2-microglobulin (mg/L)h

2.9 ± 1.1

2.9 ± 1.3

3.0 ± 1.0

 Protein absolute (g/L)i

77.0 ± 15.8

80.8 ± 11.9

74.3 ± 17.9

 Albumin absolute (g/L)j

39.3 ± 4.9

39.6 ± 5.5

39.1 ± 4.5

 Gamma globulins (%)k

25.0 ± 13.3

22.7 ± 11.8

26.6 ± 14.4

 M-protein peak (g/L)

18.2 ± 11.3

18.9 ± 11.0

17.7 ± 12.1

 IF global extrafraction

10 no suppression (32%)

5 no suppression (38%)

5 no suppression (28%)

21 suppression (68%)

8 suppression (62%)

13 suppression (72%)

 LDH (U/L)l

176.3 ± 49.4

187.8 ± 49.1

168.0 ± 49.3

 CRP (mg/L)m

6.0 ± 12.6

7.8 ± 14.4

4.8 ± 11.4

 M-protein absolute (g/L)

63.9 ± 147.9

77.3 ± 186.6

54.2 ± 117.6

 M-protein relativen

4.9 ± 6.6

4.7 ± 6.7

5.0 ± 6.8

 LC involved/uninvolved

35.2 ± 67.2

27.9 ± 35.2

40.5 ± 83.8

 BJ proteins urine

18 no (58%)–9 κ (29%)–4 λ (13%)

10 no (77%)–2 κ (15%)–1 λ (8%)

8 no (44%)–7 κ (39%)–3 λ (17%)

 WHO myelofibrosis scoreo

22MF0 (71%)–7MF1 (23%)

9MF0 (69%)–4MF1 (31%)

13MF0 (72%)–3MF1 (17%)

2MF2 (6%)–0MF3 (0%)

0MF2 (0%)–0MF3 (0%)

2MF2 (11%)–0MF3 (0%)

 BMP plasmacytosis (%)

37.7 ± 20.6

35.7 ± 20.5

38.7 ± 21.3

Genetics

 Diploidy

17 diploid (55%)

6 diploid (46%)

11 diploid (61%)

3 hypodiploid (10%)

3 hypodiploid (23%)

0 hypodiploid (0%)

11 hyperdiploid (35%)

4 hyperdiploid (31%)

7 hyperdiploid (39%)

 Gain(1q)-del(1p)-del(13q)

3 (10%)-3 (10%)-3 (10%)

3 (23%)-3 (23%)-3 (23%)

0 (0%)-0 (0%)-0 (0%)

 Del(17(p13))-TP53

2 (6%)

2 (15%)

0 (0%)

 t(4;14)(q16;q32)

1 (3%)

1 (8%)

0 (0%)

 t(11;14)(q13;q32)

2 (6%)

0 (0%)

2 (11%)

 t(14;16)(q32;q23)

0 (0%)

0 (0%)

0 (0%)

 t(14;20)(q32;q11)

0 (0%)

0 (0%)

0 (0%)

 t(6;14)(p21;q32)

0 (0%)

0 (0%)

0 (0%)

 Trisomy odd Cxp

11 (35%)

5 (38%)

6 (33%)

 del(6q,8p,13,11q,14q,16q)

7 (23%)

7 (54%)

0 (0%)

Risk stratification

 SDPq

18 I (58%)-13 II (42%)-0 III (0%)

5 I (38%)-8 II (62%)-0 III (0%)

13 I (72%)-5 II (28%)-0 III (0%)

 R2-ISSr

16 I (52%)-15 II (48%)-0 III (0%)

6 I (46%)-7 II (54%)-0 III (0%)

10 I (56%)-8 II (44%)-0 III (0%)

  1. BJ Bence Jones, BMI Body mass index, BMP Bone marrow puncture, BSR Blood sedimentation rate, CKD Chronic kidney disease, CRP C-reactive protein, Cx Chromosome, del Deletion, dL Deciliter, g Gram, G1-5 Grade of chronic kidney disease, GFR Glomerular filtration rate, IF Immunofluorescence, Ig Immunoglobulin, kg Kilogram, L Liter, LC Light chain, LDH Lactate dehydrogenase, m2 Square meter, MF Myelofibrosis, mg Milligram, min Minute, mL Milliliter, mm Millimeter, MM Multiple myeloma, M-protein Monoclonal protein, n Number, p Probability, R2-ISS Second revision of the international staging system, SDP Salmon and Durie plus staging system, t(x;y) Chromosomal translocation (x,y), TP53 Tumor protein P53, WHO World Health Organization
  2. Normal values and stadiums: afirst hour 0–30; b11.8–14.8; c35.8–43.7; d8.5–10.5; e0.55–0.96; faccording to CKD-EPI, normal values are dependent on the stage of chronic kidney disease; gbased on glomerular filtration rate (G1–normal and high ≥ 90, G2–mild reduction related to normal range for a young adult 60–90, G3a–mild to moderate reduction 45–59, G3b–moderate to severe reduction 30–44, G4–severe reduction 15–29, G5–kidney failure < 15); h1.09–2.53; i62–81; j35–52; k8.7–17.7; l105–250; m < 5.0; nas compared to maximal normal values of immunoglobulins (IgG 7.0–16.0 g/L, IgM 0.40–2.48 g/L, IgA 0.71–3.65 g/L, light-chain kappa 6.7–22.4 mg/L, light-chain lambda 8.3–27.0 mg/L); oreticulin pattern on bone marrow biopsy (MF0–scattered linear reticulin with no intersections (cross-overs) corresponding to normal bone marrow, MF1–loose network of reticulin with many intersections, especially in perivascular areas, MF2–diffuse and dense increase in reticulin with extensive intersections, occasionally with only focal bundles of collagen and/or focal osteosclerosis, MF3–diffuse and dense increase in reticulin with extensive intersections with coarse bundles of collagen, often associated with significant osteosclerosis); p3,5,7,9,11,15,19; qoriginal Salmon and Durie staging system extended with number of focal lesions on whole-body MRI/PET (stadium I: 0–4, stadium II: 5–20, stadium III: > 20); roriginal international staging system extended (second revision) with FISH/chromosomal abnormality analysis and lactate dehydrogenase analysis (stadium I: standard-risk cytogenetics and normal lactate dehydrogenase, stadium II: not stadium I or III, stadium III: high-risk cytogenetics and/or high lactate dehydrogenase)